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General NPI Number Information
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NPI Number | 1346003464
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Entity Type | Organization
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Legal Business Name | INDEX CARE INCORPORATED
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Dates
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Enumeration Date | 02/01/2024
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 11720 BELTSVILLE DR STE 500
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City | BELTSVILLE
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State | MD
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Zip | 20705-3139
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Country | US
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Telephone | 240-906-0569
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Fax |
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Provider Business Mailing Address
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Address Line | 11720 BELTSVILLE DR STE 500
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City | BELTSVILLE
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State | MD
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Zip | 20705-3139
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Country | US
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Telephone | 240-906-0569
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHARLES EKUWE
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Credential |
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Telephone | 240-906-0569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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